| NPI | 1831629930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-4178) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7169291) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5017206) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431228) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2023-11-03 |